MEDICARE: RANDY R CALEGARI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	12886	NV
2	207RH0003X	Hematology & Oncology Physician	12886	NV

General Provider Information

NPI Number	:	1336263953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANDY R CALEGARI MD

Provider Business Mailing Address
First Line	:	6355 S BUFFALO DR FL 3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2133
Country	:	US
Telephone Number	:	702-216-3346
Fax Number	:

Provider Business Practice Location Address
First Line	:	2650 N TENAYA WAY STE 201
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1110
Country	:	US
Telephone Number	:	702-735-7154
Fax Number	:	702-869-8103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	06/12/2023

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